Doctor Name: | CATHERINE ANDERSON SHOOTER |
NPI Number: | 1164890554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW013425 |
Business Practice Address: | 549 Fair St Geisinger Bloomsburg Hospital Outpatient Counseling Bloomsburg, PA - 178151419 |
Business Phone Number: | 5703872115 |
Business Fax Number: | |
Mailing Address: | 549 Fair St, Geisinger Bloomsburg Hospital Outpatient Counseling BLOOMSBURG |
State: | PA |
Postal Code: | 178151419 |
Phone Number: | 5703872115 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CW013425 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |